Metastases of the spinal cord from remote neoplasms. Study of five cases

Francesco Tognetti; Giuseppe Lanzino; Fabio Calbucci

doi:10.1016/0090-3019(88)90275-3

Metastases of the spinal cord from remote neoplasms. Study of five cases

Francesco Tognetti, Giuseppe Lanzino, Fabio Calbucci

Radiology

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46 Scopus citations

Abstract

Five patients with acute or subacute myelopathy are reported in whom neuroradiologic imaging or open surgery showed an intrinsic spinal cord tumor. Histologic diagnosis was obtained either through direct spinal cord biopsy or after biopsy or removal of a former or concurrent intracranial metastasis. Carcinoma of "possible" gas-trointestinal origin, oat-cell carcinoma, melanoma, and bronchogenic adenocarcinoma in two cases were demonstrated. The clinical course showed a devastating and irreversible deterioration of the neurological condition in all patients but one, who exhibited a mildly symptomatic disease. Our uncertainty with cases of intramedullary spinal cord metastasis resulted in a nonstandardized approach to these patients. The role of magnetic resonance imaging, the radiotherapeutic option, and the pertinent literature are briefly discussed.

Original language	English (US)
Pages (from-to)	220-227
Number of pages	8
Journal	Surgical Neurology
Volume	30
Issue number	3
DOIs	https://doi.org/10.1016/0090-3019(88)90275-3
State	Published - Sep 1988

Keywords

Hematogenous dissemination
Intramedullary spinal cord metastasis
Magnetic resonance imaging
Radiotherapy

ASJC Scopus subject areas

Surgery
Clinical Neurology

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10.1016/0090-3019(88)90275-3

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abstract = "Five patients with acute or subacute myelopathy are reported in whom neuroradiologic imaging or open surgery showed an intrinsic spinal cord tumor. Histologic diagnosis was obtained either through direct spinal cord biopsy or after biopsy or removal of a former or concurrent intracranial metastasis. Carcinoma of {"}possible{"} gas-trointestinal origin, oat-cell carcinoma, melanoma, and bronchogenic adenocarcinoma in two cases were demonstrated. The clinical course showed a devastating and irreversible deterioration of the neurological condition in all patients but one, who exhibited a mildly symptomatic disease. Our uncertainty with cases of intramedullary spinal cord metastasis resulted in a nonstandardized approach to these patients. The role of magnetic resonance imaging, the radiotherapeutic option, and the pertinent literature are briefly discussed.",

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AU - Tognetti, Francesco

AU - Lanzino, Giuseppe

AU - Calbucci, Fabio

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N2 - Five patients with acute or subacute myelopathy are reported in whom neuroradiologic imaging or open surgery showed an intrinsic spinal cord tumor. Histologic diagnosis was obtained either through direct spinal cord biopsy or after biopsy or removal of a former or concurrent intracranial metastasis. Carcinoma of "possible" gas-trointestinal origin, oat-cell carcinoma, melanoma, and bronchogenic adenocarcinoma in two cases were demonstrated. The clinical course showed a devastating and irreversible deterioration of the neurological condition in all patients but one, who exhibited a mildly symptomatic disease. Our uncertainty with cases of intramedullary spinal cord metastasis resulted in a nonstandardized approach to these patients. The role of magnetic resonance imaging, the radiotherapeutic option, and the pertinent literature are briefly discussed.

AB - Five patients with acute or subacute myelopathy are reported in whom neuroradiologic imaging or open surgery showed an intrinsic spinal cord tumor. Histologic diagnosis was obtained either through direct spinal cord biopsy or after biopsy or removal of a former or concurrent intracranial metastasis. Carcinoma of "possible" gas-trointestinal origin, oat-cell carcinoma, melanoma, and bronchogenic adenocarcinoma in two cases were demonstrated. The clinical course showed a devastating and irreversible deterioration of the neurological condition in all patients but one, who exhibited a mildly symptomatic disease. Our uncertainty with cases of intramedullary spinal cord metastasis resulted in a nonstandardized approach to these patients. The role of magnetic resonance imaging, the radiotherapeutic option, and the pertinent literature are briefly discussed.

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KW - Radiotherapy

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Metastases of the spinal cord from remote neoplasms. Study of five cases

Abstract

Keywords

ASJC Scopus subject areas

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